Provider Demographics
NPI:1093581829
Name:KEVLES-NECOWITZ, ROBIN M (MED, LPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:KEVLES-NECOWITZ
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:KEVLES-NECOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 N OXFORD VALLEY RD STE 502
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-2629
Mailing Address - Country:US
Mailing Address - Phone:215-321-4411
Mailing Address - Fax:
Practice Address - Street 1:333 N OXFORD VALLEY RD STE 502
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2629
Practice Address - Country:US
Practice Address - Phone:215-321-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2144101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional